Individual
MISS ASHLEY L MOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
201 S HANOVER ST, HUMMELSTOWN, PA 17036-2625
(717) 566-5312
Mailing address
480 WALTON AVE, APT 1, HUMMELSTOWN, PA 17036-1845
(717) 525-0181
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT004213
PA
Other
Enumeration date
03/03/2010
Last updated
03/03/2010
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